Individual provider Active NPI

Noor Dahshan, DDS

  • Dentist
  • Green Valley, AZ
National Provider Identifier
1043105141
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D012541 Issued in AZ
Practice address
1260 S Campbell Ave # 1
Green Valley, AZ 85614-0504
Phone
(520) 407-5600
NPI assigned
Jun 10, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D012541 AZ Primary

Addresses

Primary practice location

1260 S Campbell Ave # 1
Green Valley, AZ 85614-0504

Mailing address

1260 S Campbell Ave # 1
Green Valley, AZ 85614-0504

Other practice location 1

1500 W Commerce Ct Bldg 1
Tucson, AZ 85746-6074
Phone (520) 670-3909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250716004355 AZ Practitioner - Dentist 9234644238 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D012541AZMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
United Community Health Center - Maria Auxiliadora, Inc. Current Accepting new patients
United Community Health Center-Maria Auxiliadora, Inc. CurrentSince Jul 28, 2025 Accepting new patients
United Community Health Center-Maria Auxiliadora, Inc. CurrentSince Jul 28, 2025 Accepting new patients
United Community Health Center-Maria Auxiliadora, Inc. PastSince Sep 1, 2024 Accepting new patients
United Community Health Center-Maria Auxiliadora, Inc. Past Accepting new patients

Locations

1260 S Campbell Ave
#1
Green Valley, AZ 85614
Phone (520) 407-5600

1260 S Campbell Ave
Green Valley, AZ 85614
Phone (520) 407-5600

1260 S Campbell Ave
Bldg 2
Green Valley, AZ 85614
Phone (520) 407-5400

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20248/brand/1/csg/1/fhir/r4

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1749513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1043105141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 S CAMPBELL AVE # 1",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856140504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 S CAMPBELL AVE # 1",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856140504",
            "telephone_number": "520-407-5600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 W Commerce Ct Bldg 1",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857466074",
            "country_code": "US",
            "telephone_number": "520-670-3909",
            "fax_number": "520-309-2560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAHSHAN",
        "first_name": "NOOR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-10",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D012541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Valley, AZ

Sources for this page

Verify at the official NPI Registry.